Organization · Type 2 NPI

Jazz & Coco LLC

Mental Health Counselor · Little River, SC

NPI number 1376191098 Active

Practice location

289 Highway 90 E Unit H
Little River, SC 29566-9298

Fax (843) 695-7681

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

4 other providers at this address

NPI record

NPI: 1376191098
Entity type: Organization (Type 2)
Issued: Aug 27, 2019
Last updated: Aug 27, 2019
Status: Active
Subpart: Yes of Jazz & Coco LLC

Other names

Jim Bennett Counselor · doing business as

Authorized official

Mr. James Bradford Bennett, MA, LPC, NCC, MAC, LAC
Owner Clinician
(304) 610-8661

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About NPI 1376191098

Jazz & Coco LLC's National Provider Identifier is 1376191098, issued on Aug 27, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Little River, SC. The record was last updated on Aug 27, 2019.